The Controversy Behind Testosterone for Women | Over 50 & Flourishing

Owner and Founder of Complete Midlife Wellness Center, Dr. Susan Hardwick Smith, is back! We are diving into the hot topic of Testosterone. Amidst the conflicting information and ongoing debates, Dr. Susan brings her expert insight to the table to discuss the pros and cons of women using Testosterone.
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[@Gingerinthesouth]

I feel like all of us 50 year plus olds from the 80s generation have now come of age and our moms just accepted “it was over “ and we aren’t accepting aging well so I’m so glad that a lot of the providers are educating themselves now that they are going thru this change! Love it!

[@melodireyes9687]

I think in many cases they were glad "it was over"!

[@meganbetts9624]

I’m 59 and compete in national level figure (were like bodybuilders but smaller). I’ve been on testosterone over 10 years and it changed my life. I was hesitant…i believed in being a natural athlete…. But was suffering from chronic depression…. Testosterone gave me my life back.

[@user-dh3hg9xi7n]

Very educational! I have learned something today. Thank you for this episode! Love that you are encouraging women to advocate for their health. We all deserve good health.

[@alexandratzouloufi3953]

What an interesting and informative conversation ! Thank you !!!

[@leereyneke5374]

Excellent interview / chat 👌 great topic & very insightful information 💖 THANK YOU Dominique your content is FABULOUS!

[@beverleysullivan6387]

At 58, I’ve never been able to have HRT. I’ve learned so much from you ladies that had no clue about. Thank you for such great information.😊

[@echase416]

Sometimes women have to go to a specialty HRTMD. You can find listings on the NAMS website. Google.

[@carlabinnix8802]

Same here...heart attack at 48 which threw me into menopause. It's the lack of energy that is so frustrating! I live on coffee and amino energy drinks. That's my o ly replacement therapy.😂

[@annabirou6712]

Many many thanks Dominique that you invited Susan and for all this amazing content and info! Thanful to both of you and also bravo for the precise and meaningful questions Dominique❣️

[@DeniseHlavaty]

Have you ever talked about Uterine Prolapse! As a women with this problem if you haven't, can you talk about this. So many of us have this problem.

[@juliecassidy7353]

Seriously! Mine dropped in my early twenties. An elective and several spontaneous abortions certainly didn’t help.

[@Cantthinkofwhatshouldgohere]

@@juliecassidy7353ask God to forgive you, break the covenant you made with Molech and you will be healed.

[@fantasticallyfit6030]

I have my blood test from the past 4 years. My last period was at 55 yoa. I have been on full hrt since then. My testosterone naturally at age 54 was in the 150s I am a former pro figure competitor and have consistently worked out since I was 18. My last competition was as 56. I feel best with my testosterone not being less than 125. Also I’ve never done anabolic steroids or any hormones at all until I quit making them. My very lean 22 year young beautiful daughter who works out consistently also has higher than most testosterone levels. We have no negative sides associated with high testosterone. I’m a Chiropractor and Certified chiropractic nutritionist and work with patients everyday on metabolic health and I have the hormone conversion with all my patients! I will be sharing your video!!! I have have most my patients have a hormone panel along with expanded blood panel done. As it is difficult to get over inflammatory conditions without a proper diet and when they have nutritional and hormonal deficiencies.

[@charleedell92]

I am convinced the commonly used reference range for testosterone in women is set far too low. Data was just gathered from a bunch of women without screening out those who were sick, on birth control or symptomatic of low testosterone. Athletes were probably not included.

[@russvet]

I am fitted and slim all my life, think my test level is naturally high too.

[@catnipbarbie]

Talk about jaw dropping information. So many injustices towards women. Thank you so much for educating me.I am so grateful. Getting my ob/gyn to put my in HRT was like pulling teeth and I still feel horrible because she gave me the absolute lowest dosage she could give. I brought up testosterone therapy and she said absolutely not. So frustrating. I deserve to feel better. 🙏🏻💗

[@downlow0075]

Definitely find a new doctor

[@LinetteMerced]

wow I listened to it all and I truly appreciate the wealth of knowledge. I am 54 and exploring it all.

[@ginaalesha2]

Love this podcast! Went through that with no support or doctors with this knowledge, thanks Dominique and btw, congratulations being the Jelly Bean Queen on Morning on Merit Street!

[@michellebailey4769]

Love this podcast!!! I have been on estradiol and testosterone pellets for two years thanks to your show!! What a game changer it has been!! I wouldn’t be bearable without my HRT!! Thank you for putting this information out there! So important to gather info and make the decision that’s right for you!! The rest of the world is slowly catching up as far as HRT goes. We just have to keep searching for the solutions that are right for us!!

[@tammybryant3480]

I’m just coming off my pellets after 10 yrs. My estrogen just kept rising and so much testosterone that my face has to be shaved daily and suffered from male pattern “thinness” because the doc didn’t keep a close watch on ky numbers and also started me way too high on testosterone. I felt great too for a while. No progesterone was ever discussed after my hysterectomy either. Just continue educating yourself. I loved the convenience.

[@marisv2]

Wow knocked it out of the park! Again! Great video! Thank you so much. ❤

[@pharmoz]

Finally we are including conversation about testosterone being part of HRT! Thanks Dominique! To those that are using the cream, would you mind sharing the dosage that you’re currently on?

[@yelvabeath4841]

Thank you for sharing! I’m currently working with an independent doctor and will definitely ask about this topic.

[@LR-dm8wp]

Hello Dominique🙋🏼‍♀️ VERY EYE OPENING INFO… I learn so much about this subject with your guest as it’s so needed especially during post menopause. I find as Dr Susan mentioned my Family Dr is very knowledgeable in many other areas and wonderful but he can’t elaborate in 15 minutes the necessary info pertaining to this issue. 🤔

[@TheJennie1202]

Thank you for good information! I've chosen the HRT pellet and feel good! Best choice for me!😊

[@vanessayurrita3724]

Thank You both!

[@kayburris8464]

Can I just say Amen Amen !!! Thank you both for very good information. Very interesting and great advice.

[@maryannrapanos4276]

Another amazing show!!!My husband and I found it very informative.I took notes and can't wait to speak to my GP next month about my testosterone level at 56.

[@reba5679]

Your GP will likely be against it. Seek out a functional medicine professional (usually a nurse practitioner) who specializes in HRT.

[@janelifrak426]

Great information !!! Thank you

[@inspolouise4244]

I love dr Susan she is the best. Thanks for the episode

[@jeanettestalmack2183]

Looking forward to watching this!! (After work.)

[@dominiquesachsetv]

Hope you enjoy! (after work 😊)

[@julieharpa9372]

Loved this podcast ❤

[@corigunnells5725]

I did HRT for a couple years before moving to AZ. I just had my first appt with a new MD (to me) who is a strong proponent of women's health, including HRT (she has conducted clinical research on HRT at NIH). I'm waiting for the results of my testing (saliva) now and will start once we know my levels. I can't wait! Her book is a treasure > 'The Gospel of Women's Health' / Kenna Stephenson, MD.

[@christinemack2153]

So good, thank you!!!

[@bobbiebaldwin9616]

Thanks for covering this I've been lifting weights for a year and my muscle mass has been so slow I'm 54 my doctor recommend testosterone I was eerie about it

[@bethreed281]

I had a very progressive doctor in my late 20’s, early thirties. I have been on estrogen and testosterone because of his wonderful training. Sadly, he moved back to Europe because of the LACK of progressive training and slowness of medicine in the U.S. I find a lot of doctors to be cowards.

[@ckratzer2]

Great information. I’ve been on trt for 5 years and I now know that my Dr. is keeping my dose too low. I will definitely try a higher dose to try and feel a little bit better.

[@dig1272]

Thank you Dominique!!! I feel so much better knowing you're out there advocating for us women on this subject. Great interview! Susan is great. ❤

[@connieclarke9547]

I too had NO testosterone when I was going through all of this. And it got me feeling great again and I don’t know how women live without it. I am VERY active and at that time I couldn’t hardly get out of bed. Thank you ladies for talking about this. God bless you both.

[@nancydietz2684]

There are several gynecologists, some of whom have podcasts and are on KZbin, that are adamantly against testosterone pellets because the absorption rates are unstable. I just heard a podcast of a gynecologist who said the pellet releases too much testosterone in the beginning and then lowers, but the release rates remain unstable throughout the duration of the pellet. From what they say there are no studies that show the release rate is stable.

[@drsusan]

Yes, I've seen those people too, and in fact that's not accurate. There have been a lot of studies done on pellet dose release, and the fact is that every form of administration has some up-and-down as I mentioned -and all of our life our hormones have been a little up-and-down ... that being said pellets are way more stable than the other options like creams or troches but yes, there's a bit of fluctuation for sure. The main problem is getting too much and I'm 100% in agreement with that.! so to be balanced, nothing is 100% stable, but pellets are more more stable than any of the other options -and having zero in my opinion is the worst of all options! In our office, we actually do check blood levels frequently and have a very good idea of what happens to a pellet overtime so drawing is important in my opinion

[@reba5679]

Yes. I had to discontinue the pellets. Transdermal creams work great for me; stable.

[@sunshine.rays01]

Pellets also release when you need it more, like during intense exercise or stress/sickness, it will release a little more b/c u need a little more in those times. It goes by body heat/heart rate. So the pellet isnt unstable per say, it just doesnt work the same as a patch/pill. Ive been on them for 1 yr after surgical menopause and yes they do "peak" more at the mid mark, and are less right before your next insertion, but patches do same just need to be changed every few days or once a wk, pill needs to be taken daily etc. Its the same thing, the pellet just takes months. If that makes sense. KEY is finding a good doctor who knows what their doing. Idk about BioT but on Sottopelle you can search on their site for trained doctors in your area. I would not go to just anyone or random clinics.

[@lathanf-5432]

That's why I take the compounded troches that dissolve right under the tongue. 2x a day keeps it balanced!

[@user-bs2tx3qx9r]

I was on KZbin and found your video, this was fantastic! I’m 62 and my doctor doesn’t agree with this . I’m praying I can find a doctor to help with this . Thank you so much for this information!

[@LilyB-vz8lq]

I would be careful about getting medical advice from KZbin.

[@drsusan]

The problem isn't getting medical advice from KZbin. It's getting medical advice from people on KZbin who don't know what they're talking about so I assure you that I'm not one of those.! we'd love to see you in our office and really good idea to check the credentials of anybody that you listen to. I totally agree with that.

[@lisao3041]

@@drsusanyou deleted my very lengthy comment correcting all your mistakes. You mixed up units repeatedly and your suggested estradiol levels at the lowest don’t even reach minimum levels to protect against osteoporosis. Sad you don’t take down the video because it confuses women when they get their blood test results and hear completely didn’t units by you.

[@TravelPhotoWriter]

Hi! Nice to see you two together again. I take a T injection once per week with a small painless insulin syringe. Curious why Dr. Susan didn't mention that method of digging T?

[@drsusan]

Hello ! Nothing terrible about it. In my opinion most of my patients don't want an injection every week and there is a lot of fluctuation up and down during the week but if it works for you, that's just fine.

[@Deder111]

Great info, Domonique did you shadow the tip of your nose it looks different :)

[@terithompson9625]

Fantastic Dominique🎉. I have been on BHRT for sometime now. I use the pellet method. Agree that blood levels should be checked . I get mine tested every year. My testosterone and estrogen have been dialed down due to some side effects. I feel great now!

[@angelinaesposito3058]

What kind of side effects please

[@terithompson9625]

@@angelinaesposito3058 breast tenderness, headaches

[@nancyzampino6466]

Dominique...I lost my Mom last week, she was my best friend (as was your Mom). The sadness is immeasurable. I just didn't expect this level of grief. How do you live with this pain?

[@teresasawyers701]

Lost mine the last part of Jan so I sympathize

[@tammyg2631]

Lost mine seven years ago. The painful pain does get better. I still cry for my mom. Knowing I’ll see her again someday helps.

[@angelamouzaki9063]

I lost my mom 7 months ago. It's getting worse every day. I don't know when time will fade it. Till now, it's the contrary. I am a working mother, so I am always busy, I survive but I don't live.

[@tammyg2631]

@@angelamouzaki9063 the first years the worst! Sadness is replaced with happy memories. Someone said the deeper the love the harder we grieve!

[@heathergasol569]

My mom just passed away 3 months ago. I miss her terribly. I took care of her for the last 3 years before she died so we were together constantly. The only thing that gives me comfort is my faith. I believe we will be reunited again one day.🙏🙌💜

[@JPMorris1]

I’ve done Biote for past 5 years. I love the muscle tone and energy of the Testosterone, but I now know (thanks to this video) that I’m getting too much which explains why I can no longer hit my high notes (as a singer) and why I am getting dark hair on my face even though my hair has always been light. My hair is getting thin at the front too. My last test showed my testosterone was 188. Previously tests showed it’s been over 200. I will be lowering the dose when I go in next month for more pellets. Thank you for giving me a specific range to strive for where I feel well but don’t have the bad side effects! I soooo appreciate this discussion and hope our daughters benefit from it when they go through mid life.

[@dinanunez1610]

Does the high testosterone give you side effects? I started biote 3 months ago. I was at 70 and received a 125 pellet on top of it.

[@Amy-bt2ti]

Same here…188!. Going to ask for a lower dose of Testosterone next time.

[@JustMe-px9qy]

@@dinanunez1610- side effects of too much testosterone-hair loss, pimples, facial hair, deeper voice, enlarged clitoris From what I understand…some of these side effects are not reversible

[@DeniseHlavaty]

I'm in a small town where the doctors know NOTHING ! Thank goodness we have shows like this to help us understand!!

[@ingainlovewithlife6665]

welcome to Germany 😎

[@joanne1468]

Hey even the big cities are clueless...

[@liana2136]

I would see a naturopath anyway.

[@righttime199]

First time visiting this channel and I am delighted to have found it, especially this program, because I have all the symptoms mentioned and like many other women we are lacking health professionals to guide us. Soon I´ll be 69 years young and I have a question for the doctor: since my youth I had to deal with a straight line of coarse hair on my belly, and a little of those in the pubic area on my thighs, they disappeared after menopause, I have a few left on my chin, my doctors never gave me a strait answer. My question is, if I take testosterone, is there any chance they could come back? And the scariest thing is what about if maybe I will grow a beard. Thank you. Subscribed and shared.

[@drsusan]

The dosing is critical. Just make sure you don't get too much.!

[@riekerfit]

I'm 68, never been on HRT and here where I live in South Eastern Pennsylvania, it's bio-identicals are sooooo darn expensive per month I just can't afford it. Of course insurance does not cover it so out of pocket is a little over $300 a month. Us retired senior citizens are screwed, we want to take bio-identicals but then get hammered by the cost so why bother even starting if we know we can't maintain the cost as we get older in the long run, so many women have said the same thing. HECK I'm a personal trainer for over 40 years who has lost strength, muscle mass and has a higher fat to muscle ratio than I evvver thought I'd have. Elasticity within the skin on my body is just awful. I am thankful for 40+ years in the gym or it would be worse. I'd love a STUDY on women my age using bio-identical , I'd volunteer as a subject for sure, lol. Thankfully I've used fabulous skincare over the years on my face and chest so no problem there, just the rest of me, hahahah. Oy!!! GREAT INFORMATION as always Dominique and Doctor Susan, thanks so much, appreciate this video.

[@katherinederosa1688]

I feel the same as you. I’m 65 and was on hrt pellets with testosterone and I felt great!!! No more aches and pains. But I had to stop because of the cost. It’s impossible to maintain. There’s no help from insurance company and it’s just not fair

[@BA-tu5eb]

Prescription estragen and progesterone available with goodrx coupon for less than $40 a month in u.s.(not using insurance or prescription plan)

[@karenhenline1906]

YES !!!​@BA-tu5eb I use the goodrx coupon too !. Anyone in the US can use it !

[@lisacabral4429]

I used to get my bioidentical hormones from a pharmacy in Indiana $59 each. Westmoreland Pharmacy in Indiana.

[@merry6117]

Superb, and I'm 77!

[@captainnemo190]

Brilliant conversation❤ In the UK and due for a HRT year review soon. I plan to discuss testosterone with the doctor (young lady doc) whom I think would be very open to this information🙂

[@Bexiboo.]

I'm also in the UK. Normal NHS GPS are dreadful on This subject X

[@inquisitive-surmenogirl]

Thank you this is fabulous! Could you possibly do an entire episode about progesterone too? Us ladies with no intact uterus/ovaries are confused if we should or shouldn’t be on progesterone.

[@heatherdean7793]

If you have a uterus and you take estrogen you MUST take progesterone at least for part of the month. If you do not you will raise your cancer risk.

[@nancyjohnson6189]

Agree I no longer have uterus or ovaries and for 20 yrs was on estradiol patch only. I had endometriosis so couldn't be on any estrogen for almost a year after hysterectomy. In the end ended up with estrogen dominant BC and had a lumpectomy.

[@melodielumley6450]

You two wonderful women continue to amaze me. I thank you for your generosity ❤ my question is: I had my ovaries out at 50. I crashed hard. Unless my estrogen is in the 300 (pellets & gel) I feel horrible. Do you think surgical meno changes a women’s needs? I tired staying around 150-200 but I was such a mess.

[@amandalwayman4046]

At 65, I have been on a low dose compounded testosterone as part of my BHRT for 10 years. It has worked great for me. I have to pay for it out of my own pocket, but it isn’t too expensive and definitely worth it.

[@Hillcountry_Catholic]

I’m 42 and just started the same kind of testosterone. It’s really helping my energy levels and my chronic pain from autoimmune arthritis. I also take LDN and I think the combination of these two is what’s helped me most.

[@BA-tu5eb]

Do you mind sharing your dose? I can't seem to get to a low enough dose to not end up with side effects with my hair. Thanks.

[@amandalwayman4046]

@@BA-tu5eb mine is a topical cream 30mg. I apply it 3-4 times a week using a click dispenser that equals .25ml or 7.5 mg per click. My doctor checks my lab levels every 6 months. I get mine compounded at Williamsburg Drug in VA. Hope this helps.

[@GigiErvin]

Excellent ❤

[@Bellamiashops4u]

@@BA-tu5eb… Same. I was losing my hair because my dose of testosterone pellet put me at 348 on lab levels

[@susancardillo8371]

I’ve been warned away from pellets because of the high dosage. I was taking a male testosterone, just a piece size amount which actually made me feel great then changed doctors now I’m on a compounded testosterone and still not feeling like I had before. I’m hoping to get that settled at some point thank you for the information.

[@Charlie-of4jb]

Could you clarify if the number she is recommending like in the example of 50-100 for ideal, is that number before or after multiplied by 10? Thank you for these wonderfully informative podcasts! ❤❤

[@joanne1468]

Starting @ 49:00-50:44. Very concerning that the doctor said what she said. I've taken HRT and the doctor I found, that was recommended from an HRT website, was horrible. I got off HRT after about 3 years of trying to adjust. It was a nightmare towards the end. Bottom line there are absolutely no good HRT doctors in the DFW(especially Fort Worth) area. *Edited to add that the pharmacy that made my Testosterone used a twist top dispenser to measure the cream I was to use on my skin. So many times the medicine would administer more or less than the last time I used it.

[@meredithlindley6882]

Have you tried the Fem Centre?

[@joanne1468]

​@@meredithlindley6882 No. I am very happy without HRT. Let's just chalk it up as an imprudent experiment. I'm focusing on my sons, grandsons, husband and worshiping Christ at Mass ... putting Him front and center in my life.

[@jackack1429]

I hope I'm a candidate. My GYN made me get off of HRT.. bioidentical cream.. when I turned 60. My muscle mass and fat gain has made me miserable. Help! I'm a 68 year old very active female, widowed 2 years. Normal health. No history of cancer.

[@susanmulvey6311]

Find another GYN, why not get the medication that helped you! Good luck!

[@annieg.7051]

Sorry to hear this. Definitely find another doctor that knows more about HRT. New studies came out showing women over 65 can still take HRT safely.

[@Candleflower42]

I’m 70 and last month had a week of bleeding so stopped HRT thinking that was it. Had ultrasound and doc said uterine lining very thin which is good thing - no biopsy needed, thinks it was from little blood vessels in lining bursting. But he didn’t like me being on HRT (been on about 10 years) and especially testosterone - says it’s unregulated and turns into estrogen. I think he’s just not up on research and I’m sticking to it.

[@lindasvenssonsmith4794]

Muscles pain, back pain and crying spells i found Testosterone also helped with. Dr Louis Newson in UK is a great specialist with menopause. She has lots of influence and resurge about it and very well known doctor in the field.

[@user-or4gx5pj4c]

I agree she is amazing

[@rosej9686]

It's easy to say, keep looking for the right provider and you might have to "kiss a few frogs" but when you're retired and on a fixed income, you can't just keep hopping from one doctor's office to another, forking out a specialist copay each time, until you find the "right one"! I wish one could find out where a doctor stands BEFORE having to pay for the visit!

[@drsusan]

Totally agree it's not easy. It's a very sad situation. That is so difficult and I'm so sorry that it is.!

[@rmh691]

Ladies, beware of the pellets! I’m shocked they didn’t bring this up. I got them, and for me personally, the dose was way too high and I suffered terribly for many weeks because the pellets cannot be removed once they are inserted. If you’re using a cream and you find it’s too high of a dose you can back off the next day. But once those pellets are in your backside, they are a part of you until they are completely absorbed and you will be in complete misery during that time, if the dose is too high for you.

[@kristidockter8770]

I feel like one of the most important symptoms of low testosterone that I experienced personally was an inability to cope. I was very depressed and felt like I could not handle the simplest things. I had testosterone pellets and all of those symptoms went away. I started estrogen therapy a year later and I’m still doing that and I am now considering going back on testosteroneas well

[@drsusan]

Me too! The symptoms can be really rough

[@nancycaron8227]

Me too! Just got the pellet yesterday and I really hope to feel better. It’s been brutal for the last few years and I ended up having to take time off from work for months as I was totally wiped. I figure that if this works, it’s cheaper than having to be on unpaid leave from work. Not to mention the huge loss in quality of life. I got to the point I’d have to sleep the whole weekend just to be able to do a normal work week. I thought maybe it was just leftover stress from the pandemic but even after doing therapy, being out on estrogen and progesterone, feeling a little better but not enough to feel like myself again. I asked my doctor about testosterone but she said women didn’t need it. So found a doctor specializing in women’s health. I’m feeling hopeful that within a month or so I’ll begin to feel like myself again.

[@user-po3ko9yb5w]

Be open about being inverted if you are so open and honest

[@QueenMahaon]

Greetings from Greece!! Your under eye area looks amazing! Is it Sculptra or have you done anything else?? Please share!!!

[@nancycaron8227]

She did! She did an episode on that.

[@QueenMahaon]

@@nancycaron8227 Really?? Can you send me the link of the video??

[@dawnmorants4180]

I’m in the information gathering phase now and so much uncertainty! I do know that I’m done with all of these menopausal symptoms. I am seeing a gynecologist that specializes in menopause tomorrow and have been to a FNP who only does the pellets. Not sure what’s the best option,

[@Charlie-of4jb]

That red on you is 🔥!!

[@annieg.7051]

Hi doctor, how about side effects of testosterone affecting the heart?

[@cristianechatfield9800]

I love the pod cast, great info, but when comes to the compound cream for $50,60 a month the pellets is nothing less than $500, 700 and the price keeping getting up all the time and cannot even compare the access for most off us real women 😢

[@ginab968]

Great information! Need to get on testosterone which is the missing part for me.

[@melaniemcgarry5271]

Good info, but no mention of starting testosterone 10 yrs post menopausal. Do the benefits outweigh the risks or is it still just “trial and error”?

[@drsusan]

There's never been any risk associated with testosterone other than if the dose is too high unrelated to age

[@lindsayk40]

our FDA (and all other gov departments) are an abject failure at doing the primary purpose WE fund them for

[@danielleschilk9845]

I been on hrt for 14 years and I’m 64 and I feel great . But my blood test showed high testosterone, my doctor said that it’s ok it’s because I’m on hrt ?

[@Katepwe]

This is more work then it needs to be and is frustrating, upsetting and over whelming. I had a complete radical hysterectomy and the ovaries removed so I would guess I have 0 testosterone which would be why, even with being on estrogen topically and vaginally, is why I still feel meh, and have almost less then zero libido. I have seen a NAMS trained practitioner when there was finally one who opened a clinic in 2020. At the present time there is only 1 in the whole of south eastern Saskatchewan Canada.

[@AMDG_-nk2dp]

We don't know ... what we don't know. Our doctosr rarely know or tell us what we need to know, which is the Truth , regarding women's hormones and menopause. We all so need wholistic functional MDs to educate us and truly want to help us during this struggling and difficult time. Thanks Dominique for you and your guests talking about this important part and time in our lives. 🌞😯

[@carolinegonzales7040]

I have been on HRT pellets for 3 years. My last testosterone was 311. I started growing facial hair that I have to shave every other day, thank God it's blonde, but it's annoying. My hair also started getting really thin on top and my hairline was receding. Obviously it's too high. I'm going to be bringing that up at my next pellet appointment or switching to creams and patches.

[@drsusan]

Yikes. 😮

[@carolinegonzales7040]

@drsusan what would be some good verbiage to tell my doctor when I go back about this I'm on the biote pellet. Would you still even put testosterone in my next pellet or would you just apply the lowest dose possible or not do any at all?

[@lisao3041]

The problem with pellets is their testosterone happy generally. You need less testosterone. I’d recommend finding a telemedicine hormone specialist and you’ll probably pay the same as pellets because pellets are expensive. Defy, Elevate, etc are good providers. I hope your estradiol and progesterone are good levels too.

[@CH-jo4wp]

I’m 47 got on testosterone by identical cream and felt absolutely amazing for about three months and then suddenly I developed high SHBG and cannot seem to feel normal again because it’s binding all my hormones and all my testosterone so I have basically zero again!! what would you do? Doctor has no clue.

[@Flexy98658]

I checked my progesterone and it is 0,5 I am 47, not in menopause yet No symptoms

[@ryanh4700]

I had uterine cancer and have the BRCA gene. Dont believe i am a candidate

[@liana2136]

Do MD's get a financial reward (kickback) for every HRT prescription they write?

[@drsusan]

Absolutely not -drug companies are not allowed to pay doctors that is illegal!!

[@deeannaburns912]

When I asked my gynecologist about 3 years ago, if he could prescribe pellets, he told me that only unscrupulous doctors did that, and that they get a kickback for it. I don’t believe that, I know doctors like Dr. Hardwick and Dr. Haver have high ethics. But I really think he believed it - I’m guessing that he hasn’t stayed current on health issues - he also told me that the only thing he does for health is a short walk. Hmmm what about resistance training, I thought.

[@mirtagriggs]

I took 25mg DHEA, increased it to 50mg, and had to decrease it because my testosterone rose to 400.

[@danas8131]

i take a compounded hormone nightly..it contains estrogen,testosterone,progesterone and dhea..if I did not take it i do not know where i would be

[@palomino5223]

In order to replace we need to know what was there. How do you know the base line number for replacement?

[@drsusan]

We don't need to know the baseline number. It's a reasonable assumption that we started somewhere in the "average " range - and if it's zero now, we've got nowhere to go but in a good direction! Just not too high . Remember hormones have fluctuated throughout our lives so we're not trying to hit a target number like a bull's-eye it's a general range.

[@palomino5223]

@@drsusan Thank you so much for clearing that up.

[@susan8471]

I dont take testosterone, but i do have the dark hair that I now have to shave....its shameful. Also my hair is getting thinner on top. What do i do about THAT?

[@mollynixon2144]

Susan, I shave everyday just to help my face look more radiant. Women with age, do get more chin hairs anyway. Don’t feel bad. It’s normal.

[@lisao3041]

Low estradiol, low testosterone along with low ferritin are all possible causes of thinning hair.

[@elizabethharrell8707]

I had a total hyst in my mid 30's due to severe endometriosis. I was put on estrogen only, was never quite right. In my 50's my doc took my estrogen away citing heart disease(which I didn't have) Now at 69 I have a belly, and flabby even though I eat clean and walk 3 mile daily and lift weights. My doc still refuses to give me anything. would it be harmful at my age to start again?

[@drsusan]

This is a very personalized conversation based on all of your personal health history would be delighted to see you in Houston or remotely to discuss

[@juliecassidy7353]

If I was offered testosterone I definitely would eliminate alcohol and make sure I exercise. A sauna every now and then wouldn’t hurt either. Pretty much my same choices being on Climara Pro patch. Aren’t we lucky?

[@user-xs9835]

Does anybody know if Prometrium is tough on liver as its being taken by mouth? Thank you !

[@lisao3041]

It is not bad for your liver. It’s the only hormone that can and should be taken orally. I use it rectally only because it has better absorption and less side effects for some women.

[@user-xs9835]

@@lisao3041 Thanks Lisa!

[@tranquilityseeker581]

These are all fine points. However pellet dosing is dangerous.

[@Starts_like_this]

Dr. Holder Clark, is an interesting person. Her theory on parasites and bacteria are very interesting. Perhaps you can do a show on that and mental health pertaining to parasites, bacteria’s, vitamin therapy/deficiencies and the affects on mental health.

[@bonniewormmeester8095]

I am 80 is it ok to stay on it?

[@ardenmycue8346]

BioTe gave me back my life! 100%

[@nancycaron8227]

How long did it take? Just got my Biote pellet yesterday. Really hoping for a good outcome

[@shirleyannegoguen842]

Is a dutch test necessary ?

[@drsusan]

That's one way to test hormones in the urine, but you can get very accurate information and blood tests these days

[@chelleychelley8299]

Can a diet promote testosterone in a woman?

[@drsusan]

Unfortunately, not we wish it was. There are some supplements that can elevate testosterone a little little bit like DHEA but only a little bit.

[@msmc2685]

What about Free testosterone? Someone can have very high total T but with super low Free T which means she’s not receiving benefits. High SHBG will bind up your T and prevent your body from utilizing it.

[@sherylmartinez1896]

What about when you are 20 years post menopausal. I have read that cells in these women don’t have the receptors for the hormones. Thank you. Please don’t say women can’t get get bulky . That’s not true. Depending on your body type, you certainly can.

[@ladonnarichman1755]

I'm on BIOIDENTICAL HORMONE THERAPY COMPOUNDED AND THEY TRIED TO Put testosterone in my cream it was low dose and my face got red from I don't understand why.......Can someone explain why my face got red....my libido is so low it causes problems with my husband and I cuz he dont understand and I try to tell him but what can I say he's a guy I'm 51 and I'm postmenopausal

[@drsusan]

Could be many answers to this - no way to know, but I'd be delighted to meet you as a patient and go into some detail. Many people can have a sensitivity to the cream itself, not the hormone that the cream is in for example, so sometimes you have to play around with it, but pellets might be good for a person as if they're sensitive to things they go on their skin.

[@ladonnarichman1755]

@@drsusan I'm in USA I live in ohio where do you live at

[@lezlier.6679]

My doctor says the major menopause and endocrine society’s do not recommend Testosterone and clinical research does not show its benefits (but agrees more is needed). Still a VERY frustrating topic for women because Dr. Jen Gunter (gyn) who is very research/science driven, a best selling author and prominent on SM says to run away if a doctor tries to prescribe you testosterone, and just like Susan, makes a very sound and convincing case. Doctors/researchers need to get their s*** together and get on the same page so we get consistent and accurate information.

[@Justchilling1662]

I have to much testosterone! I’m losing my hair I’m on medicine to lower it. Still to high!!! Ugh!

[@Bexiboo.]

If you increase oestrogen and progesterone does this lower testosterone? X

[@zannaadedigba3936]

I am on estrogen and estrogen but I’m not sure where to get testosterone

[@chrissymarie7903]

In my area, a lot of the Medi spas will have a doctor that does it. That’s where I go to get my testosterone pellet.

[@danielleschilk9845]

I’m on HRT for 14 years now, I’m 64 feel great , my testosterone blood test showed 140 H , should I be worried?

[@drsusan]

I certainly wouldn't worry, but my personal opinion is that I would drop that a little bit -that's higher than it's ever been in your life as a female. We're very unlikely to have significant side effects unless it's over 200 but as I mentioned, I prefer it to be under 100.

[@danielleschilk9845]

@@drsusan thank you so much 🙏❤️

[@bethreed281]

The benefits outweigh the risks..

[@user-ej9dv2ki9v]

Call the office and ask does she prescribe hrt. Therapy. That you Re interested.

[@TrombroskiMatt8244]

Just because something makes you feel good does not mean it is good for you. I am a physician (using my teenagers KZbin account) I see T causing hair loss and facial hair and acne in women and cardiovascular events in men in my practice.

[@lisao3041]

If it’s too high, it will have adverse effects. Otherwise it relieves brain fog in men and promotes bone health, muscle mass. In women it promotes bone health, muscle mass, hair growth, and improves mood.

[@michellemaddox8373]

I do 4 drops on my wrist. Much cheaper than pellets and I feel great.

[@drsusan]

Great ! Lots of options. 4 drops could mean 1 million things depending on the concentration that the compounder uses that the most important thing is what level that gets to in your bloodstream

[@michellemaddox8373]

@@drsusan they are testosterone and estrogen drops. I don’t know the formula but it is a compound that has to be mixed. It has been a God send.

[@t.t.8878]

You must be Wealthy to be Healthy! ( Especially in the USA) I cannot afford that much money. I'll be looking out of the country to buy hormones.

[@danielleschilk9845]

Do you have to take dim with Hrt ?

[@janicebartels4292]

My wonderful doctor suggested taking Dim with HRT, I've been taking it for 15 yrs no problem.

[@drsusan]

DIM is a plant extract called di indol methane and there is some limited evidence that it supports stable hormone levels so we do offer it to our patients but it's not 100% necessary nor is there much science supporting it -but it's certainly not harmful. It's a broccoli extract. I made a KZbin video about that sometime ago. If you search you will find it.!

[@miaash3870]

Will you please remember Dominique to ask Dr Susan about what the required tests and procedures are to determine the correct dose in the next conversation when she is invited to the show? Thanks

[@leslliegordon785]

Yes!